Individual provider Active NPI

Kathryn Elizabeth Remini, PA-C

  • Physician Assistant
  • New Hyde Park, NY
National Provider Identifier
1225400351
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
019282 Issued in NY
Practice address
1 Hollow LN
Suite 301
New Hyde Park, NY 11042-1220
Phone
(516) 869-0650
NPI assigned
Oct 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 019282 NY Primary

Addresses

Primary practice location

1 Hollow LN
Suite 301
New Hyde Park, NY 11042-1220

Mailing address

337 Kell Ave # 1R
Staten Island, NY 10314-4115
Phone (516) 526-4013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260212001670 NY Practitioner - Physician Assistant 7416436191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1111 Marcus Ave
New Hyde Park, NY 11042-1034

2 Brighton Rd
Suite 300
Clifton, NJ 07012-1645

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
019282NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Lij Medical Group at North Nassau, PC CurrentSince Jan 26, 2026 Accepting new patients
PM Pediatrics of Bayside, PLLC Past Accepting new patients
PM Pediatrics of Selden Past Accepting new patients
Premier Pediatrics of New York, PC PastSince Feb 7, 2021 Accepting new patients
PM Pediatrics of Mamaroneck Past Accepting new patients
PM Pediatrics PC Past Accepting new patients
PM Pediatrics of Bayside PLLC Past Accepting new patients
Night Lite Pediatric Center, LLC Past Accepting new patients

Locations

70 Glen St
Ste 200
Glen Cove, NY 11542
Phone (516) 484-7893

Interoperability endpoints

  • Direct secure messaging: kathryn.smith@pmuc.eclinicaldirectplus.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1225400351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 KELL AVE # 1R",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144115",
            "telephone_number": "516-526-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOLLOW LN",
            "address_2": "SUITE 301",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421220",
            "telephone_number": "516-869-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMINI",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-28",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "019282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.